re was at times an appearance of dull bewilderment.
When, soon after admission, asked whether she felt cheerful
or downhearted, she said "downhearted," but this was the
only time. Often she answered "I don't know," when asked
whether she was worried, and she could never say what she
was worried about. Again she directly denied worry.
Sometimes she smiled appropriately, and repeatedly, when
asked how she felt, said, "I feel better." In answer to
questions as to how her head was, she replied several
times, "My memory is gone," also "I can't take in my
surroundings," or "I don't know where I am," or "I cannot
realize where I am." Again, she spoke of being dizzy and
once said it was as though the room went round. Sometimes
she knew where she was or knew names, again said "I
forget," but she always was approximately oriented as to
time. There were no special ideas expressed and no
hallucinations, except in the very beginning when she still
thought at night, when she heard the boats on the East
River, that people were being drowned. She later, as stated
above, said she thought she was on a boat and people were
being drowned.

By June, i.e., two months after admission, she began
rhythmical swaying of the body, twisting of the fingers, or
pulling out some of her hair. She ascribed this behavior
simply to "nervousness."

On July 16, after a visit from her cousin, who said to her
that if she worked she would soon get better, she began
spontaneously to occupy herself somewhat. She became more
active, said she felt stronger and brighter, and that her
memory was better. By the beginning of August she was
fairly free, but still spoke in a rather low voice,
although answering well. Her capacity to calculate also
remained poor. When asked about the more inactive state,
she said she had been afraid to stir. (What afraid of?) "I
didn't know where to go or what to do." Further, she
recalled that she had had a numb feeling in her tongue,
could not speak quickly, and that her mind had felt
confused and "she could not take in things." Further review
with her of the earlier period of her psychosis showed that
there was a blank for external events and most of the
internal events during this time.